Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vanessa Bautista

Individual provider School Psychologist · NPI 1588485825

Vanessa Bautista is a School Psychologist in Fort Moore, Georgia. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2024

Practice location Address checks out

5253 10th Armored Loop
Fort Moore, GA 31905-7088
Phone: (831) 245-8662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 72067 (TX)

Record details

NPI number1588485825
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 19, 2024
Last updated in NPPESOctober 19, 2024
Certification dateOctober 19, 2024
Mailing address5253 10th Armored Loop, Fort Moore, GA 31905-7088